Organization
COMMUNITY MEDICAL CENTER INC
Active
Organization
COMMUNITY MEDICAL CENTER INC
Active
Other names
Community Rx
Organization subpart
No
Provider details
NPI number
Authorized official
H. DEAN MIKES (DIRECTOR OF PHARMACY)
(406) 327-4041
Entity
Organization
Contact information
Practice address
2835 FORT MISSOULA RD, MISSOULA, MT 59804-7423
(406) 327-4680
(406) 327-4679
Mailing address
2835 FORT MISSOULA RD, MISSOULA, MT 59804-7423
(406) 327-4680
(406) 327-4679
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1320
MT
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2783719
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/01/2010
Last updated
02/22/2011
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